Review the Sample Video Clips (1 hour):
Part 1: Review TTE21 to TTE26
This image depicts a parasternal short axis with good imaging technique of the left ventricle. IN this image you can visualize the papillary muscles. You can also see the right ventricle in the superior portion of the image.
This image shows a parasternal short axis with a small pericardial effusion, this would warrant further evaluation with formal echocardiogram. Serial point of care ultrasound can also be utilized to monitor the size of the pericardial effusion.
Often poor images are obtained in the intensive care population. This image is a poor image, however, it does reveal a moderate pericardial effusion which can be seen at the superior portion of the screen. Imaging of the ventricles is poor in this image. It is important to evaluate as much as possible in the patient who has poor windows. Subsequently, a formal echocardiogram or evaluation by a more experienced ultrasonographer would be useful.
This is a still image of the use of M-mode to evaluate the contractility of the left ventricle. This image depicts poor motion of the left ventricle and poor ejection fraction. This would indicate need for further evaluation and in the hypotensive patient, one may use at inotrope to augment cardiac contractility. ( Image Only)
This is a parasternal short axis view that depicts poor contractility of the left ventricle. This image would warrant formal evaluation and in the hypotensive patient one may use an inotrope to augment cardiac contractility.
This image depicts an apical view of the heart with good images. The left ventricle in this video has poor contractility. This would warrant further evaluation with formal echocardiography. One may use an inotrope in this patient to augment cardiac contractility.